MR. TRAVIS JOHN NEILL (NPI# 1013242460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013242460 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS JOHN NEILL |
| Credential | PA-C |
| Practice Address |
5920 Mcintyre St #300 Golden CO 80403-7445 |
| Mailing Address |
5920 Mcintyre St Golden CO 80403-7445 |
| Practice Telephone | 7204344876 |
| Mailing Telephone | 7204344876 |
| Mailing Fax Number | 3032254246 |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2017-05-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2863 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 00820059 | 05 |
| Street Address |
5920 MCINTYRE ST #300 |
| City | GOLDEN |
| State | CO |
| Zip Code | 80403-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939541 | Timothy J Rodgers | Internal Medicine | 5920 Mcintyre St, Golden, CO 80403-7445 | 2005-05-31 |
| 1184256489 | Sylvia Knop | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2020-02-05 |
| 1578106696 | Nakia Fields | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-10-21 |
| 1598312456 | Joseph N Namongo | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-24 |
| 1437706769 | Elizabeth Claire Ingram | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-21 |
| 1699329029 | Amanda Griffith | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-07-24 |
| 1033672597 | Krystina Enriquez | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-04-11 |
| 1245716075 | Brittany Horrigan | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-15 |
| 1710463765 | Ciara Falzone | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-12 |
| 1982199899 | Elizabeth Mweru Wambugu | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417229394 | Dami Ann Hughes | Massage Therapist | 19562 W 57th Circle, Golden, CO 80403 | 2012-02-07 |
| 1942446075 | Laura Brett | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2008-12-18 |
| 1952453664 | Jan M. Oxman | Psychologist | 17830 W. 53rd Drive, Golden, CO 80403 | 2007-01-16 |
| 1609935337 | Julie Ann Lindsay | Physical Therapist | 109 Rubey Dr, Suite G-h, Golden, CO 80403 | 2006-12-08 |
| 1285660936 | Theraphysics Partners of Colorado, Inc. | Physical Therapist | 112 N Rubey Dr Unit 135, Golden, CO 80403 | 2006-06-24 |
| 1811930043 | Cynthia K Petrinovic | Occupational Therapist | 3935 Douglas Mtn Drive, Golden, CO 80403 | 2006-06-14 |
| 1114463882 | Summit Speech and Language Therapy, LLC | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2017-01-18 |
| 1891183448 | Tracy Gardner | Speech-Language Pathologist | 5987 Dunraven St, Golden, CO 80403-1007 | 2015-01-06 |
| 1548665110 | Michelle Dawn | Registered Nurse | 5977 Dunraven St, Golden, CO 80403-1007 | 2014-10-25 |
| 1093927352 | Quality Home Living | Contractor | 5900 Blanca Ct, Golden, CO 80403-1023 | 2007-05-07 |
| Find all providers in zip 80403 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932622719 | Brooke Annette Albert | Physician Assistant | 2801 Youngfield St Ste 150, Golden, CO 80401-0209 | 2017-07-24 |
| 1245885888 | Sarah Kathleen Bailey | Physician Assistant | 400 Indiana St Ste 320, Golden, CO 80401-5033 | 2019-08-08 |
| 1699149583 | Matthew Killough | Physician Assistant | 200 Jefferson County Pkwy, Golden, CO 80401-6008 | 2015-11-16 |
| 1073986980 | Rachael Passafaro | Physician Assistant | 755 Heritage Rd, Suite 100, Golden, CO 80401-3600 | 2015-11-02 |
| 1598192742 | Valerie Lynn Paulson | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403-7445 | 2013-10-02 |
| 1013272871 | Allison Ann Villegas | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403-7445 | 2012-07-09 |
| 1841564432 | Lilias K Morgan | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403-7445 | 2012-02-29 |
| 1295918829 | Jeffrey Scott Meyers | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403-7445 | 2007-12-05 |
| 1184766354 | Brittany C Lillard | Physician Assistant | 1707 Cole Blvd., Suite #150, Golden, CO 80401 | 2007-02-13 |
| 1326113473 | Mario Carlo Capocelli | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403-7445 | 2006-11-22 |
| Find all providers in GOLDEN | ||||
Please comment or provide details below to improve the information on MR. TRAVIS JOHN NEILL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.